Andrew Xavier Schmid
Individual provider Active NPI General Practice Dentistry · Manchester Ctr, VT
NPI 1477599785 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1477599785
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2098 (VT)
- Practice address
- 5053 Main Street
Manchester Ctr, VT 05255 - Phone
- (802) 362-2345
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2098 | VT | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2098 | VT | Yes |
Addresses
Primary practice location
5053 Main Street
Manchester Ctr, VT 05255
Mailing address
PO Box 2509
Manchester Center, VT 05255-2509
Phone (802) 362-2345
Other providers in Manchester Ctr, VT
All providers in Manchester Ctr, VT · General Practice Dentistry in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.